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Relationship between hyperuricemia and risk of coronary heart disease in a middle-aged and elderly Chinese population
Ye Yang1, Jian Tian1, Chao Zeng1
11 Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Insights
Hyperuricemia, or high uric acid levels, is linked to increased coronary heart disease (CHD) risk in middle-aged and elderly Chinese individuals. This finding suggests hyperuricemia may be an independent risk factor for CHD.
Area of Science:
- Cardiology
- Metabolic Disorders
- Epidemiology
Background:
- Coronary heart disease (CHD) poses a significant health burden.
- Hyperuricemia is a metabolic condition characterized by elevated uric acid levels.
- The association between hyperuricemia and CHD risk requires further investigation, particularly in diverse populations.
Purpose of the Study:
- To examine the relationship between hyperuricemia and the 10-year risk of coronary heart disease (CHD).
- To assess this association in a middle-aged and elderly Chinese population using the Framingham risk score (FRS).
Main Methods:
- A cross-sectional study involving 6347 patients undergoing routine check-ups.
- Hyperuricemia defined by specific uric acid thresholds for males and females.
- Multivariable logistic regression analysis was employed to evaluate associations after adjusting for confounding factors.
Main Results:
- The prevalence of hyperuricemia was 18.1% in the study population.
- Patients with hyperuricemia showed an increased 10-year CHD risk compared to those without.
- This increased risk was observed in the total population (OR 1.28), males (OR 1.25), and notably in females (OR 3.76).
Conclusions:
- Hyperuricemia is positively associated with an increased 10-year risk of coronary heart disease.
- The findings suggest that hyperuricemia may serve as an independent risk factor for CHD.
- This highlights the potential importance of monitoring uric acid levels in middle-aged and elderly individuals for cardiovascular risk assessment.
Abstract:
Objective To investigate the relationship between hyperuricemia and coronary heart disease (CHD) risk based on the Framingham risk score (FRS) in a middle-aged and elderly Chinese population. Methods This cross-sectional study enrolled patients undergoing routine check-ups at Xiangya Hospital between October 2013 and November 2014. Hyperuricemia was defined as uric acid ≥416 mmol/l for males and ≥360 mmol/l for females. A 10-year CHD risk was calculated from FRS. A multivariable logistic analysis model was used to evaluate associations. Results Of the 6347 patients, 3415 (53.8%) were male, 1543 (24.3%) had a CHD risk ≥10% (i.e. intermediate and high risk) and the prevalence of hyperuricemia was 18.1% ( n = 1148). After adjusting for potential confounding factors, the 10-year CHD risk was increased in patients with hyperuricemia compared with those without hyperuricemia by 0.28 times in the total population (odds ratio [OR] 1.28; 95% confidence interval [CI] 1.09, 1.48), by 0.25 times in the male population (OR 1.25; 95% CI 1.06, 1.47) and by 2.76 times in the female population (OR 3.76; 95% CI 2.08, 6.79). Conclusion Hyperuricemia was positively associated with a 10-year risk of CHD suggesting that it might be an independent CHD risk factor in middle-aged and elderly individuals.
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